| Regimental number | 2142 |
| Place of birth | Ballarat, Victoria |
| Religion | Congregational |
| Occupation | Labourer |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Sister, Miss Mary Bourke, Nag's Head Hotel, Armstrong Street, Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front |
| Date of death |